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Insurance Claim Processor Jobs in California (NOW HIRING)

Chubb

Senior Claim Examiner

Los Angeles, CA · On-site

$72K - $123K/yr

... process. * Reviews claim and policy information to provide background for investigation. * Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with insured ...

CCMSI

Workers' Compensation Claim Specialist

Irvine, CA

$25 - $34.25/hr

We don't just process claims-we support people. As the largest privately owned Third Party ... Medical, Dental, Vision, Life, and Disability Insurance * Retirement plans : 401(k) and Employee ...

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All JobsInsurance Claim Processor JobsInsurance Claim Processor Jobs in California

Insurance Claim Processor information

See California salary details

$11

$22

$33

How much do insurance claim processor jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for insurance claim processor in California is $22.04, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $25.14 per hour, depending on experience, location, and employer.

What is the difference between Insurance Claim Processor vs Insurance Adjuster?

AspectInsurance Claim ProcessorInsurance Adjuster
CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma; state licensing or certifications often required
Work EnvironmentOffice setting, processing claims via computer systemsField and office work, inspecting damages and assessing claims
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Search & Comparison IntentUnderstanding roles related to claims processingAssessing damage and determining claim payouts

The main difference is that Insurance Claim Processors handle the administrative side of claims, verifying information and processing payments, while Insurance Adjusters evaluate damages and determine claim validity. Both roles require insurance knowledge but differ in responsibilities and work environments.

What does an insurance claims processor do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using specialized software. Strong attention to detail and knowledge of insurance policies are essential for this role.

How to become a claim processor?

To become an insurance claim processor, typically a high school diploma or equivalent is required, and some employers prefer candidates with postsecondary education or relevant experience. Training is often provided on the job, and familiarity with insurance policies, computer skills, and attention to detail are important for success in this role.

What are the key skills and qualifications needed to thrive as an Insurance Claim Processor, and why are they important?

To excel as an Insurance Claim Processor, you need strong attention to detail, analytical abilities, and familiarity with insurance policies, often supported by a high school diploma or associate degree. Proficiency with claims management software, databases, and sometimes certification like the Associate in Claims (AIC) is commonly required. Excellent organizational skills, clear communication, and customer service orientation are crucial soft skills for managing case loads and client interactions. These competencies ensure accurate claim handling, efficient workflow, and positive customer experiences, which are vital to maintaining trust and operational success in the insurance industry.

What does an Insurance Claim Processor do?

An Insurance Claim Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify the accuracy of claim information, check for policy coverage, and ensure that all required documentation is complete. Additionally, they may communicate with claimants, healthcare providers, or adjusters to resolve discrepancies and approve or deny claims based on company guidelines. Their work is essential in making sure that claims are handled efficiently and customers receive the appropriate benefits.

Is claims processing a stressful job?

Insurance claim processing can be stressful due to tight deadlines, high accuracy requirements, and dealing with sensitive customer information. The role often involves detailed review of claims, which requires attention to detail and strong organizational skills. However, workload and stress levels can vary depending on the employer and individual workload management.

What are some common challenges faced by Insurance Claim Processors, and how can they be managed?

Insurance Claim Processors often encounter challenges such as handling high volumes of claims, ensuring the accuracy of documentation, and meeting tight deadlines. To manage these challenges effectively, strong organizational skills and attention to detail are essential, as well as the ability to prioritize tasks and communicate clearly with both clients and internal teams. Many organizations provide ongoing training and supportive team structures to help processors stay updated on changing policies and procedures, making it easier to adapt and perform efficiently.

Which claim adjusters make the most money?

Senior claim adjusters, especially those with specialized expertise in complex or high-value claims, tend to earn the highest salaries in the field. Adjusters working for large insurance companies or in regions with a high cost of living often have higher compensation, and certifications like the Chartered Property Casualty Underwriter (CPCU) can also lead to increased earnings.
What are popular job titles related to Insurance Claim Processor jobs in California? For Insurance Claim Processor jobs in California, the most frequently searched job titles are:
What job categories do people searching Insurance Claim Processor jobs in California look for? The top searched job categories for Insurance Claim Processor jobs in California are:
Insurance Claim Processor jobs near you
Infographic showing various Insurance Claim Processor job openings in California as of July 2026, with employment types broken down into 80% Full Time, 16% Part Time, 2% Temporary, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $45,853 per year, or $22 per hour.
Medical Billing Specialist | Physician Practice | Full Cycle Billing | San Mateo, CA

Medical Billing Specialist | Physician Practice | Full Cycle Billing | San Mateo, CA

W3Global Inc.

San Mateo, CA • On-site

$26.80 - $32.27/hr

Full-time, Temporary

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

Medical Billing Specialist

Location: San Mateo, CA

Job Type: Full-Time

Pay: $26.80-$32.27 per hour (DOE)

Schedule: Monday-Friday | 8-Hour Day Shift (Flexible between 8:00 AM-6:00 PM)

Work Setting: On-site (No Remote)

We are seeking an experienced Medical Billing Specialist to join a growing physician-owned specialty medical practice in San Mateo, CA. This is an excellent opportunity for someone who enjoys managing the revenue cycle, resolving insurance denials, and working closely with both patients and providers in a collaborative environment.

If you have strong physician practice billing experience and enjoy problem-solving, we'd love to hear from you.

Responsibilities

•Process insurance payment posting accurately and efficiently.

•Investigate and resolve denied or rejected claims.

•Submit appeals and perform insurance claim follow-up.

•Review billing documentation for CPT, ICD-10, and modifier accuracy.

•Communicate with insurance carriers regarding claim status.

•Explain EOBs, answer patient billing questions, collect balances, and establish payment plans.

•Assist with claim follow-up for specialty medications, including biologics.

•Collaborate with providers and administrative staff to ensure timely reimbursement.

Qualifications

Required

•Minimum 3 years of physician/private practice medical billing experience.

•Strong understanding of:

oMedical billing processes

oCPT coding

oICD-10 diagnosis coding

oE&M coding

oCPT modifiers

•Experience working with Medicare, Commercial PPOs, HMOs, and insurance claim follow-up.

•Comfortable communicating with patients regarding billing questions and payment plans.

•Experience using EHR and medical billing software.

•Typing speed of 45+ WPM and 10-key proficiency.

•Strong attention to detail, organization, and problem-solving skills.

Preferred

•Experience in Allergy & Immunology or another medical specialty.

•Familiarity with biologic medication billing and buy-and-bill claims.

•Experience with IMS/Meditab is a plus.

Candidates with strong physician practice billing experience from any specialty are encouraged to apply.

Benefits

•Competitive Hourly Pay

•Medical, Dental & Vision Insurance

•401(k)

•Life Insurance

•Paid Time Off

•Stable Monday-Friday Schedule

•30-Day Training Program

•Supportive, Team-Oriented Work Environment

Additional Information

•Full-time, on-site position.

•Flexible work hours between 8:00 AM and 6:00 PM.

•Specialty billing experience is preferred, but training will be provided for candidates with strong physician office billing experience.

If you are an experienced Medical Billing Specialist looking for a stable opportunity with an established physician practice, we encourage you to apply today!

Company Description

W3Global was established in 2006 in Fremont, CA with a vision: simplify the recruiting process and develop an industry-disrupting platform to connect candidates with clients. Our cutting-edge Applicant Tracking System enables us to find the right person for the right job, creating value for job seekers and employers. While W3Global initially focused on IT staffing, we have expanded the business to serve many other industries, including accounting and finance, legal, engineering, human resources, government and more.
We’re proud of the investments we’ve made in our team, having grown from four to 1000 employees and evolving into one of the leading recruitment and staffing solution providers in the industry. Our recruiters and account managers are passionate about connecting qualified professionals with the right positions in small, medium, and large companies.
Our Services
W3Global understands the natural ups and downs of an organization’s staffing needs. We are continuously adapting to industry and economic changes to find the right candidates.
We specialize in placing permanent, direct, contract, and temporary positions for companies of any size. Our recruiting services include sourcing, recruiting, screening, interview management, salary negotiations, training, and onboarding.
We are committed to helping organizations redefine their recruitment process by delivering our SaaS-based proprietary application tracking system software.
Our Expertise
W3Global has been delivering staffing solutions for nearly two decades; we know which recruiting strategies work best. Our expert team is committed to developing a customized solution to fit your company’s unique needs.
As a W3Global client, you’ll also receive personalized assistance from a seasoned team of staffing specialists. We are committed to providing both technical support and industry expertise to simplify the hiring process. We know that your time matters. W3Global will help you streamline the hiring process, getting it done and getting it right.
W3Global logo

About W3Global

Sourced by ZipRecruiter

W3Global has been delivering staffing solutions for nearly two decades; we know which recruiting strategies work best. Our expert team is committed to developing a customized solution to fit your company’s unique needs. As a W3Global client, you’ll also receive personalized assistance from a seasoned team of staffing specialists. We are committed to providing both technical support and industry expertise to simplify the hiring process. We know that your time matters. W3Global will help you streamline the hiring process, getting it done and getting it right.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Frisco, TX, US

Year founded

2006

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